BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    7900

    MDR report key: 2101689 · Received May 11, 2011

    Report

    Report Number
    9680959-2011-01225
    Event Type
    Malfunction
    Date Received
    May 11, 2011
    Date of Event
    April 27, 2011
    Report Date
    May 11, 2011
    Manufacturer
    GE OEC MEDICAL SYSTEMS GMBH
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AS
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE POWER SUPPLY AND TRANSFORMER NEED TO BE REPLACED, BUT THE CUSTOMER DECLINED TO HAVE THE SERVICE REPRESENTATIVE FIX THE SYSTEM AT THIS TIME. NO CONCLUSION CAN BE DRAWN AS NO ADDITIONAL SERVICE INFORMATION IS PROVIDED.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED THAT THE SYSTEM HAD BLOWN A FUSE. NO PATIENT INJURY WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 7900 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS GMBH 7900

    Patients

    Seq Age Sex Outcome Treatment
    1